新疆某三级甲等医院2023年外来病理切片会诊分析  

Analysis of External Pathological Consultation in a Tertiary A Hospital in Xinjiang in 2023

作　　者：兰莹莹 贾薇 万国兴[3] 刘丙[2] 李曼 曹玉文 LAN Ying-ying;JIA Wei;WAN Guo-xing;LIU Bing;LI Man;CAO Yu-wen(Department of Pathology,Shihezi University School of Medicine,Xinjiang Shihezi,832002;Department of Pathology,The First Affiliated Hospital of Shihezi University,Xinjiang Shihezi,832008;Hubei University of Medicine,Hubei Shiyan,442000)

机构地区：[1]石河子大学医学院病理学系,新疆石河子832002 [2]石河子大学第一附属医院病理科,新疆石河子832008 [3]湖北医药学院,湖北十堰442000

出　　处：《农垦医学》2024年第4期340-343,384,共5页Journal of Nongken Medicine

基　　金：新疆地方与民族高发病教育部重点实验室2020年开放课题(KF2021-4)。

摘　　要：目的:分析病理外来会诊结果,以期为基层医院病理诊断的质量控制提供证据。方法:回顾性分析我院2023年病理外来会诊482例,分析送检医院、会诊例数及占比、会诊结果符合率等相关信息。结果:482例外来会诊病例中,主要送检医院是兵团第九师医院、解放军第九四八医院和石河子市人民医院。疾病分类中,消化系统疾病占首位,再者是女性生殖系统和乳腺疾病;所有疾病中乳腺浸润性导管癌例数最多,其次是胃腺癌和宫颈CIN;具体疾病诊断符合率情况,淋巴瘤和肺炎不一致率较高。结论:基层病理科有待提升和加强对淋巴瘤、肺炎等疾病的病理诊断水平。Objective:The results of external pathological consultation were analyzed to provide evidence for the quality control of pathological diagnosis in primary hospitals.Methods:482 cases of external pathological consultation in our hospital in 2023 were retrospectively analyzed,and the relevant information such as the hospital,the number of cases,the proportion and the coincidence rate of consultation results were analyzed.Results:Among the 482 exceptional cases,the hospital of the 9th Division of the XPCC was the main hospital,followed by the 948 Hospital of the People's Liberation Army and Shihezi People's Hospital.Diseases of the digestive system topped the list,followed by diseases of the female reproductive system and breast.Among all diseases,breast invasive ductal carcinoma was the most common,followed by gastric adenocarcinoma and cervical CIN.In the diagnosis of specific diseases in each system,the inconsistent rate of lymphoma and pneumonia was higher.Conclusion:The level of pathological diagnosis of lymphoma,pneumonia and other diseases should be improved and strengthened in the basic pathology department.

关 键 词：病理会诊 占比 符合率 

分 类 号：R36[医药卫生—病理学]